Individual
MISS ALLIE CAREN FOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
267 ROCKET ST, ROCHESTER, NY 14609-1406
(585) 284-2618
Mailing address
267 ROCKET ST, ROCHESTER, NY 14609-4102
(585) 284-2618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278564
NY
Other
Enumeration date
09/19/2009
Last updated
12/10/2009
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